Organization
BONITA BEACH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE RAY DC (MANAGER)
(239) 992-6643
Entity
Organization
Contact information
Practice address
11100 BONITA BEACH RD SE STE 107B, BONITA SPRINGS, FL 34135-5701
(314) 919-7399
Mailing address
3470 CARTWRIGHT CT, BONITA SPRINGS, FL 34134-7575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11185
—
Other
Enumeration date
07/12/2017
Last updated
03/09/2018
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